DR. BOBAN FIDANOSKI


Address: 1150 Whitlock Ave Nw, Marietta, GA 30064-1933
Phone: 7703383389

DR. BOBAN FIDANOSKI (NPI# 1669994109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669994109
Entity Type Individual
Full Name DR. BOBAN FIDANOSKI
Credential DMD
Practice Address 1150 Whitlock Ave Nw
Marietta
GA 30064-1933
Practice Telephone 7703383389
Mailing Telephone 7703383389
Enumeration Date 2017-07-15
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN015383 GA Dental Providers

Office Location

Street Address 1150 WHITLOCK AVE NW
City MARIETTA
State GA
Zip Code 30064-1933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144850926 Fidanoski Dentistry, LLC Clinic/Center 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 2020-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833304 Chelsey Lewis Pharmacist 660 Whitlock Ave Sw, Marietta, GA 30064 2020-05-21
1316428527 Candice Murray Nurse Practitioner 2727 Wynford Ave Sw, Marietta, GA 30064 2018-08-25
1427539741 Emily Dorsey Drew Nurse Practitioner 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 2018-08-24
1649765017 Julie K Berger Counselor 336 Powder Springs St Suite 206, Marietta, GA 30064 2018-06-27
1689175291 Anthony Bammer Clinical Exercise Physiologist 1001 Whitlock Avenue Nw, Marietta, GA 30064 2018-02-28
1831600725 Dyniecia Barnes Specialist 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 2017-10-18
1588173298 Michelle Ann Stich Assistant Behavior Analyst 376 Powder Springs St Ste 130, Marietta, GA 30064 2017-09-26
1194241976 Namasine Lolice Dalrymple Counselor 1708 Peachtree St, Suite 300, Atlanta, GA 30064 2017-08-14
1245760859 Michael H Mulkey, Dmd PC Dentist 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 2017-06-15
1700310893 West Cobb Dentist Office, PC Dentist 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 2017-04-14
Find all providers in zip 30064

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427659028 My Emergency Dental Ga, LLC Dentist 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 2020-11-02
1811536212 Sandy Plains Dental Group, PC Dentist 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 2020-01-02
1104381359 Castiblanco Dental Care LLC Dentist 3901 Roswell Rd Ste 220, Marietta, GA 30062-8816 2019-02-01
1982102653 Superior Dental of East Cobb, LLC Dentist 2745 Sandy Plains Rd Ste 118, Marietta, GA 30066-4327 2018-01-29
1477068823 Gina Dental LLC Dentist 1000 Johnson Ferry Rd Ste E125, Marietta, GA 30068-2100 2017-12-07
1245760859 Michael H Mulkey, Dmd PC Dentist 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 2017-06-15
1659724532 Neha Chakravarti Dentist 2230 Roswell Rd Ste 200, Marietta, GA 30062-2945 2016-07-15
1104218361 Georgia Dental Professionals, PC Dentist 3052 Shallowford Rd Ste 100, Marietta, GA 30062-1252 2015-02-25
1124429212 Family Tree Dental D Austin Rehl Dds and Peter E Lovejoy Dds LLC Dentist 30 Acme St, Marietta, OH 45750-3306 2014-09-09
1598198384 Garrick James Mcgrath Dentist 3698 Largent Way Nw Ste 202, Marietta, GA 30064-5923 2013-08-15
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 30064

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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